Moving from formative research to co-creation of interventions: insights from a community health system project in Mozambique, Nepal and Peru
| Autor: | Beran, David Henri, Lazo Porras, Maria De Los Angeles, Cardenas, Maria Kathia, Chappuis, François, Damasceno, Albertino, Jha, Nilambar, Madede, Tavares, Lachat, Sarah, Perez Leon, Silvana, Aya Pastrana, Nathaly, Pesantes, Maria Amalia, Singh, Suman Bahadur, Sharma, Sanjib, Somerville, Claire, Suggs, L Suzanne, Miranda, J Jaime, the COHESION Team |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Process management
purl.org/pe-repo/ocde/ford#3.03.05 [https] Psychological intervention 03 medical and health sciences study design 0302 clinical medicine formative research Nepal purl.org/pe-repo/ocde/ford#3.03.02 [https] Political science Peru Global health co-creation of interventions Health services research 030212 general & internal medicine Mozambique ddc:613 Practice 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Stakeholder Study design health services research Cohesion (linguistics) Community health Sustainability Implementation research 0305 other medical science community health system |
| Zdroj: | BMJ (Global health), Vol. 3, No 6 (2018) P. e001183 BMJ Global Health |
| ISSN: | 2059-7908 |
| Popis: | Different methodological approaches for implementation research in global health focusing on how interventions are developed, implemented and evaluated are needed. In this paper, we detail the approach developed and implemented in the COmmunity HEalth System InnovatiON (COHESION) Project, a global health project aimed at strengthening health systems in Mozambique, Nepal and Peru. This project developed innovative formative research at policy, health system and community levels to gain a comprehensive understanding of the barriers, enablers, needs and lessons for the management of chronic disease using non-communicable and neglected tropical diseases as tracer conditions. After formative research, COHESION adopted a co-creation approach in the planning of interventions. The approach included two interactions with each type of stakeholder at policy, health system and community level in each country which aimed to develop interventions to improve the delivery of care of the tracer conditions. Diverse tools and methods were used in order to prioritise interventions based on support, resources and impact. Additionally, a COHESION score that assessed feasibility, sustainability and scaling up was used to select three potential interventions. Next steps for the COHESION Project are to further detail and develop the interventions propositioned through this process. Besides providing some useful tools and methods, this work also highlights the challenges and lessons learned from such an approach. |
| Databáze: | OpenAIRE |
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